Ellsworth Foot And Ankle Clinic - Medicare Podiatrist in Riverton, UT

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Ellsworth Foot And Ankle Clinic is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Riverton, Utah. Their current practice location is 12523 S Creek Meadow Rd Ste 105, Riverton, Utah. You can reach out to their office (for appointments etc.) via phone at (801) 253-6886.

Ellsworth Foot And Ankle Clinic is licensed to practice in Utah (license number 8400193-0501) and it also participates in the medicare program. Ellsworth Foot And Ankle Clinic is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1942549795.

Contact Information

Ellsworth Foot And Ankle Clinic
12523 S Creek Meadow Rd Ste 105,
Riverton, UT 84065
(801) 253-6886
(801) 253-6888

Map and Direction




Healthcare Provider's Profile

Full NameEllsworth Foot And Ankle Clinic
TypeFacility
SpecialityPodiatrist - Foot & Ankle Surgery
Location12523 S Creek Meadow Rd Ste 105, Riverton, Utah
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942549795
  • Provider Enumeration Date: 02/13/2013
  • Last Update Date: 09/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2062778160
  • Enrollment ID: O20211110001673

Medical Identifiers

Medical identifiers for Ellsworth Foot And Ankle Clinic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942549795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 8400193-0501 (Utah)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ellsworth Foot And Ankle Clinic acts as a billing entity for following providers:
Provider NameDavid H Jaramillo
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1154437655
PECOS PAC ID: 1153347190
Enrollment ID: I20051019000889
Provider NameRyan Peterson
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1245486307
PECOS PAC ID: 2365610326
Enrollment ID: I20110718000399
Provider NameTraske Mcneil Muir
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1144369935
PECOS PAC ID: 1850446543
Enrollment ID: I20130327000606
Provider NameRyan Ellsworth
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1104130574
PECOS PAC ID: 3678719135
Enrollment ID: I20130429000536
Provider NameDavid Matthew Graff
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1144635038
PECOS PAC ID: 9537424361
Enrollment ID: I20180529002189
Provider NameKathryn C Decker
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1366734394
PECOS PAC ID: 2567694078
Enrollment ID: I20181210002677
Provider NameChristopher Kiser
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1295221869
PECOS PAC ID: 8224439344
Enrollment ID: I20210628001164
Provider NameDawn Ranae Quada
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447834056
PECOS PAC ID: 2264827005
Enrollment ID: I20220315000907
Provider NameLandon Ryan Bowerbank
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1083234975
PECOS PAC ID: 8527480318
Enrollment ID: I20230712000413
Provider NameRobert Joseph Liddiard
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1588004865
PECOS PAC ID: 7911293683
Enrollment ID: I20230721000919
Provider NameChristopher Merrell Funk
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1720079528
PECOS PAC ID: 1052435757
Enrollment ID: I20230906002806
Provider NameBryan L Berghout
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1255411419
PECOS PAC ID: 8022019793
Enrollment ID: I20240208001899
Provider NameJennie Tess Jahn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841064805
PECOS PAC ID: 3274978788
Enrollment ID: I20240223002470
Provider NameEmilee A Kelly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205688421
PECOS PAC ID: 5193164663
Enrollment ID: I20240416003918
Provider NameJodi Lyn Putnam
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558109504
PECOS PAC ID: 9830636836
Enrollment ID: I20240808001760
Provider NameGary Lynn Chambers
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1538139621
PECOS PAC ID: 7416138300
Enrollment ID: I20240828004926
Provider NameDavid B Randall
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1710976535
PECOS PAC ID: 9739087628
Enrollment ID: I20241021002399

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ellsworth Foot And Ankle Clinic is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ellsworth Foot And Ankle Clinic
12523 S Creek Meadow Rd Ste 105,
Riverton, UT 84065-7299

Ph: (801) 253-6886		Ellsworth Foot And Ankle Clinic
12523 S Creek Meadow Rd Ste 105,
Riverton, UT 84065

Ph: (801) 253-6886

Reviews and Comments


Podiatrist in Riverton, UT

Mark R Elkins, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 4019 W 12600 South, Suite 120, Riverton, UT 84096
Phone: 801-253-6886    Fax: 801-253-6888
Ellsworth Foot And Ankle Clinic
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065
Phone: 801-253-6886    
Mark R Elkins Dpm Pc
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 4019 W 12600 S, Suite 120, Riverton, UT 84096
Phone: 801-253-6886    Fax: 801-253-6888
Advanced Wound Care Of Utah Pllc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 13836 S Glen Laurel Cir, Riverton, UT 84065
Phone: 928-530-3230    
Robert Joseph Liddiard, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065
Phone: 801-253-6886    
Dr. Braden Russ Brklacich, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 12523 S Creek Meadow Rd Ste 105, Riverton, UT 84065
Phone: 801-253-6886    
Ingrown Toenails Only
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 4019 W 12600 S Ste 120b, Riverton, UT 84096
Phone: 801-273-0001    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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